CVS Health's Aetna and UnitedHealth Group's OptumHealth must face a class of nearly 88,000 people who allege the companies violated their fiduciary duties by disguising administrative expenses and medical costs.
NCQA expects the six month pilot will test how effective its quality measurement software is.
Patient Sandra Peters claims that the insurer and provider used a "dummy code" to cover up unbillable administrative fees and overcharged her.
A startup backed by Aetna Health, Cleveland Clinic and other major companies plans to use blockchain to lower administrative costs associated with transferring data between payers and providers.
